Provider Demographics
NPI:1063488674
Name:DACHS, DAVID D (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:D
Last Name:DACHS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 2ND STREET SOUTH
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-8390
Mailing Address - Country:US
Mailing Address - Phone:406-791-9267
Mailing Address - Fax:406-791-9277
Practice Address - Street 1:202 2ND STREET SOUTH
Practice Address - Street 2:SUITE 203
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-8390
Practice Address - Country:US
Practice Address - Phone:406-791-9267
Practice Address - Fax:406-791-9277
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT16211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice